Individual
MS. GAYLA B. GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
117 S 11TH AVE, LAUREL, MS 39440-4312
(601) 425-3033
(601) 422-0431
Mailing address
117 S 11TH AVE, LAUREL, MS 39440-4312
(601) 425-3033
(601) 422-0431
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D0697
MS
Other
Enumeration date
06/27/2005
Last updated
11/19/2010
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